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* 1. Do you have a functioning computer at home (or current location)?

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* 2. Do you have camera/microphone function on that computer?

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* 3. Do you have a smart phone that you could use for Canvas or video-phone calls?

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* 4. Do you have easy access to the internet (yes, no, other…please explain)?

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* 5. Please describe any significant issues or concerns that you have regarding the technology needed for learning online.

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* 6. Please provide name and contact information.

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